person
Clark Randall
Mental Health Counselor in Longview, Washington
NPI 1346868841

Clark Randall is a Mental Health Counselor based in Longview, WA and is specialized in Mental Health. Clark Randall practices in Longview, WA. The NPI Number for Clark Randall is 1346868841 and holds a License No. CG61088625 (Washington).

The current practice location address for Clark Randall is 748 14Th Ave, Longview, WA and can be reached out via phone at 360-200-5419.

Location: 748 14Th Ave, Longview, WA, 98632-2315
person
Provider Profile Details
NPI Number
1346868841
Provider Name
Clark Randall
Credential
Provider Entity Type
Individual
Gender
Male
Address
748 14Th Ave, Longview, WA, 98632-2315
Phone Number
360-200-5419
Fax Number
Provider Enumeration Date
07/10/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
748 14Th Ave
City
State
Zip
98632-2315
Phone Number
360-200-5419
Fax Number
person
Provider Business Mailing Address Details
Address
748 14Th Ave
City
State
Zip
98632-2315
Phone Number
360-200-5419
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
CG61088625 (Washington)
Definition
Definition to come...
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